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I am 58 y/o married woman with 2 adult sons & 5 Grandkids. I have been a nurse for 38 years. I must be 59 1/2 to retire. My Grandmother is 104 years old and living at her home. She had three children, 2 daughters and a son, and we have been sharing caregiving responsibilities for 5 1/2 years. Her older daughter is 82 and drives an hour away to stay for 72 hours. (I am my aunt’s medical POA, too). My mom is 76 and just had hip replacement surgery (which she put off for far too long). Her son only stays about 10 hours a week, split up over 2 days. I work 40 hours M-F (and usually overtime). I usually stay 24 hours every weekend. Her two daughters have asked me to stay all weekend, every weekend, but I said no. I need some time with my husband and to rest. My mom knew in advance that she would be having surgery but made no attempt to find help as everyone just expects me to do it. Well, I made it 3 nights, 2 days, got sick & tested positive for COVID. I’m praying my grandmother doesn’t get it. I spent an entire day calling for help to be sure my grandmother was taken care of so I could isolate from her. I wanted to ask her son’s grandkids who are nurses to help, but my uncle said “No, they’re too busy because they work.” Hello! I work full time too! And I’m currently expected to care for his mother 75 hours a week! I was only asking for few hours of their time. I texted them anyway, but they weren’t available. My son worked a midnight shift 2 1/2 hours away & drove home, then drove his daughter to a Dr. appt. an hour away and was still willing to help a few hours as we were in crisis mode. My uncle also likes to remind me that he needs time to go on vacations with his wife & spend time with his Grandkids and Great Grandkids. Well, I’m missing out on my grandkids' lives. I can feel my relationship with my husband suffering. My Grandma’s farm & home are still in her name, so we can’t get government funded help. I was lucky that a neighbor who is also an LPN & works at the hospital with me, agreed to stay 12 hours overnight while I was sick. I paid her $15.00 an hour to do so. Mom said she will pay me back. My mom keeps telling me she feels bad that I must cover so many hours for her, but I think she should have arranged some extra paid help before her surgery rolled around. Instead, I feel like everything to do with Grandma’s care is left up to me. I used to pay for Life Alert myself when Grandma started needing it. She has 24-hour care now & it’s been stopped. My mom had her other hip replaced a few years ago & I had to take an unexpected vacation at work because her son went on vacation & her older daughter went to stay with her daughter-in-law who had only a minor surgery. I told my uncle that he should send me for a week’s stay in his timeshare since I had to take vacation so he could go on a vacation, but that never happened. Also, her son, his wife & kids are resentful because he wanted her to sign over the farm to him years ago, but she didn’t want to. (I think my mother is to blame for that). She wants everything divided equally. She has a farm of her own with my dad, & their sister doesn’t want it. Most of us live all around Grandma’s farm & it is “Home.” I’ve been trying to convince my parents to put their farm in my brother’s name, so we don’t have this problem when they need help, but they say no. Now, my husband wants to sell our house and move after Grandma passes. I know I’ll grieve for our home. We spent 10 years building it ourselves. So much blood, sweat, tears & sacrifice. But I can see his point. He’s been picking up the slack at home cause I’m not there or I’m too exhausted to do it. Does anyone else out there identify with my situation? My health is also being affected by the stress. I’m taking 3 blood pressure meds and recently had a scare with my heart. My EKG said I had a heart attack, but the cardiologist doesn’t think I did.

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To be transactional about this, it is unlikely you will inherit anything as a grandchild. Your parents have a financial motivation you do not, so let them handle grandma.

Your dh sounds like he’s scared that if you two don’t leave, he will have his medically fragile wife attempting to care for the next elder in line until you’re about 80. Could you say no to your parents, uncle, whomever if you remained where you are? If not, moving might be the best way out regardless of when this 104 year old dies.
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RosyJean Aug 2022
I know there will be no “inheritence”, and I really don’t want anything. I’m in this mess because I really do care about my Grandma. And , yes I believe you’re right about moving. I don’t think think I want to stay here after Grandma is gone. My parents & in-laws are all expecting me to stick around & take care of them too. I see no light at the end of the tunnel. When my mom was awaiting her first hip surgery, my mother-in/law asked me if I’d take care if her & her husband too when they couldn’t take care of thenselves. I just couldn’t even answer her & I just got up and left the room. I just can’t
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First, there should be a calendar with assigned (equally) days and times to help with Grandma. If you can't cover your shift, find someone who can, and if no family can do it, then hire someone.

Common sense says Granny needs paid in-house 24/7 care if you won't consider a nursing home, so personally I think that's what you should advocate for instead of trying to get unwilling relatives to do their part. (I mean seriously -- an 82-year-old is expected to care for a 104-year-old?) Since you're the unofficial Lead Caregiver in this group, I elect you to make that announcement and nominate someone else to be treasurer and collect the funds needed to pay for the caregivers if Granny doesn't have the dough herself.

Second, your parents are correct not to put a farm in your brothers' name. If they do that and he sells it, he'll have to pay taxes on the amount between what they paid for it and what it sells for. If he inherits it, his cost basis is what the farm was worth when the last parent dies, and that'll be much less tax in the end.
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RosyJean Aug 2022
Yes, I started a calendar 5 1/2 years ago when she fell & broke her hip as her kids were just clueless as to what to do. I’ve had trouble getting help from her son with the cost of her Lifeline in the past. And anytime I mention splitting the cost of a caregiver, he wants to back out. And Thank you for the advise about not putting my parents farm in my brother’s name, I hadn’t thought of that.
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Just to say that these multigenerational type property arrangements don’t usually go the way the elder envisioned.

FILs mother died at 103. Her assets included, in part, a beach house shared by her brother, who passed a year later at 95.

The mom willed her shares to FIL and his older brother, who by virtue of distance, was the one traveling to see her weekly. The other brother got her condo in Hawaii.

Fast forward, we found out that the FIL and his brother had coughed up 50k apiece to buy out a relative of this brother, and that her shares reverted to nonvoting in their corporation. In fact, what happens to the house is now wholly controlled by a 60 yo daughter of this dead brother who will, I’m sure, be approaching them for a measly 150k to buy them out because she won’t liquidate it and give fil, his brother, and herself over a mil, apiece.

FIL and MIL themselves spend 200k a year for their aides, maids and housekeepers. FILs brother moved into I assume a ccrc as his wife had alz. But nope, this 60 yo wants to squeeze them rather than pay out. Side note, I googled her and have never seen such low ratings. She’s a real b, but a tenured one.

One of fIl, his brother, and their wives could clearly make it another five years or even 10, translating into between a million and two million in expenses while this b squeezes them like a vulture capitalist.

Anyway, the point of all this is that whatever they promise you might not be there.
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RosyJean Aug 2022
There are no promises of any compensation. My Grandmother and I have always been super close. Her kids are jealous of our relationship, which I think is part of the problem. My mother’s marriage broke up when I was an infant. (Due to bio Dad’s mental illness). I finally met him when I was 32. We lived with Grandma till I was 4 & mom remarried & they had a son. My entire life, I have felt like Mom didn’t like me because I reminded her of (him). During a fight, she even confessed that my brother is her favorite. My Grandma has always been my safe haven, and I feel like I owe it to her to give her the best possible care. My mother “promised” my grandma that she’d never gave to go to a nursing home (which I know no one should ever promise), but I think my mom’s plan all along was that I’d be there to take care of everything because I’m a nurse. Grandma fell one day & my mom & Uncle called me to get her up off the floor, and initially just stood there, until mom said “ she can’t get her up by herself” like she was totally surprised. They think I’m some kind of superwoman because I’m a nurae
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It isn't family memberS, is it. It's mainly just the one, viz Uncle FatFace.

Your mother did what a lot of caregivers do, and didn't give sufficient thought to her own care needs. With all love and respect, you're not really in a position to criticize her for that ((hugs)).

Hence it's all got a bit out of hand.

I had a telephone call from my manager yesterday, which I missed. I thought "oo good, she's ringing to tell me what to do about E's bed calls and social care assessment" so I called her straight back.

"I wanted to know why you're ringing the office and using the computer on your day off," she said. Gulp.

I did try to explain that I had tried to relax during the morning and couldn't until I'd caught up on outstanding admin and followed up on -

She wasn't having it. She has booked "a supervision" (heartsink) to discuss time management and using rest days properly.

And I haven't even reported my chest pains and insomnia.

What would your manager (if she's anything like mine) say to you about your workload?

Your family is under stress and they are not going to prioritize your wellbeing (to be fair, it sounds like they're not taking great care of their own, either). So you have to. Forget seeking their approval or additional support, the only other person whose agreement you need is your husband. Look at your timetable with him and work out new boundaries and a plan you're both comfortable with.
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RosyJean Aug 2022
Actually, my boss and co-workers have sat me down and “had a talk with me” . My boss went through a similar situation with his Dad. He finally relented and paid for the hired caregivers. I’ve found 2 caregivers in the past. My Aunt said she would pay for one if I found someone. Well, when it came down to it. She only wanted the caregiver 8 hours a day at the most because of cost and the caregiver said she needed more hours than that. (Which I totally understand). If I end up paying for help, I’m afraid my husband (will have had enough).
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104 y.o.!!! My goodness. People are living wayyyyy too long...
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Cover999 Aug 2022
Lol, so 100 should be the cut off point?
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As long as you already did more than anyone else (weekends w/Grandma), why do you think people will not continue to try and take advantage of you? 3 blood pressure meds and a heart scare? You're a nurse; what do you think is going to continue to happen if you continue on this way?

Stop any helping immediately.

And then move away when you retire, as your H wants. Your relatives are a bunch of leaches. Especially your uncle -- he takes fewer hours than anyone, yet wants the farm signed over to him?
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RosyJean Aug 2022
Yes, I believe you’re right. My husband and I need to make a new start
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You wrote "My Grandma’s farm & home are still in her name, so we can’t get government funded help."

Have you been told this by a qualified eldercare attorney is her state?
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RosyJean Aug 2022
No, we haven’t. Actually, I misspoke. She is on a Medicare Waiver program & gets 4 hours 2 days a week respite. It does help, but it’s just not enough. There is the Passport program but they can take the home & farm after she passes. (I think it may be time that they have to give up trying to keep it☹️
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Are you accepting (and ignoring) the two facts that jump out of this?

1). The treatment you are willing to accept from your family is patently unfair, potentially dangerous, perhaps life threatening to you, and ridiculously out of balance?

and -

2). There is NO WAY out of this tangle without irreparable damage to whatever any of you think is your family.

Your grandmother needs to be in the best residential care setting available, you need to decide which relatives are people with whom you care to continue a relationship, and you need to tell the current crew that you’ve put in your time and won’t do this any more.

THE GROUP needs to know that when you walk away, this whole spider web of excuses and selfishness falls apart when you push your way out of it, and that you plan to do, after giving six weeks notice, EXACTLY THAT.

Are you worth saving yourself? Sounds like it to me. If you are, DO IT.
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RosyJean Aug 2022
Yes, I can feel that the treatment is blatantly unfair. It does help to hear a neutral person’s perspective. It reinforces to me that I am being used by my family.
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Your "family's" continued comfort is dependent upon NOT understanding your needs.

Forget understanding.

Start saying "no, I can't possible do that. You'll have to make other arrangements."

Not easy. But you must. Your life, my friend, depends upon it.
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RosyJean Aug 2022
I know that you are right
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No is a complete sentence, back away, let others take over, you should not be responsible to care for your grandmother, that is the children's burden to bear.

Let's face it, you have no life, and your husband wants to get out of this mess you have placed yourself in. You live in a house, since you are never there it is not a home, you are destroying your family life with your children, grands and most important your husband.

You are waaaay toooo involved in all of this, you do not have to be in control, time to get your priorities in order, set boundaries and enforce them.

Good Luck, this is all up to you, you have taught others how to treat you, straighten this out before it is too late.
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RosyJean Aug 2022
Thank you for your input. I’m trying to come up with a way to approach my family, once my mother recovers. For now, I plan to continue to pay the neighbor to help when she can & I’m gonna talk to my Uncle about stepping up, or that the three of them must make some decisions
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Moving away is an excellent idea. The nerve of aunt and uncle asking you to be their caregivers too. Please dont even be moms caregiver at this point. Enough is enough. I would tell mom and thecredt if them they need to start making plans for their own care because you are not doing any hands on and you are not their old age savings account. It's harsh but what your mother and the rest of the family did to you is just as harsh.
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If your Aunt is competent, I would ask her to assign someone else as POA because ur stepping down. There is a lot involved with being a POA especially if the person has a lot of assets. It can get complicated. Also, people tend to think that the person they assigned means that person has to care physically for them and be at their beck and call. Not how it works.

Your EKG says there was a heart attack. Could have been very slight but it was a heart attack and I would use that information. Tell everyone you are taking some time for yourself. Tell them you have had heart attack and your job is suffering. You need a break and its up to grandmoms children to pick up the slack. That with working 40plus hours you don't have time for yourself. And you do not spend your money. The farm can be sold for Grandmoms care. Or, a family member buy it. HER children have options.

I see your future, because your a Nurse certain things will expected of you. You need to set boundries now. Your husband is wise and sees the writing on the wall.

My daughter has worked as a LPN/RN for almost 26 years, 20 of them working in Rehab/NH settings. Its great to have an RN in the family. But she has told me not to expect me to be her caregiver. After 20 yrs in NHs, she has had enough with what goes along with caring for someone. And to be honest, I have never thought that either of my girls should have to physically care for me. You may need to think on the lines of my daughter. You deal with the care of people every day, you have a stressful job. Your weekends should be for you to de-pressurize . Time for you and husband to be together. It really isn't fair that Uncle thinks his 82 yr old sister should be caring for her Mom.

You may not have to give up your home if you learn to say No. We all need Boundries in our lives or we get sucked into things we don't want to do. As much as GMa did for you, your husband and your family come first. Don't wreck your marriage for a woman who has lived too long. If Gma is on Medicaid for in home help, she should be able to get Medicaid for LTC.

I have a mantra: I am here to help people find a way, not be the way.
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I am going to teach you a new word that you are going to have a hard time saying. The word is "NO". Just say NO. They figured it out when they asked you to help, they will figure it out when they ask someone else. Everyone has the right to make decisions for themselves that are in their best interest. This includes you.

Your health (mental and physical) have to be your #1 priority because without it, you have nothing. Your next priority is your husband....then your children and grandchildren and so on.

Just say NO.
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Beatty Aug 2022
This.

Saying No can be a foreign concept.

'Yes I can help' is a message that many 'good daughters' have taught from birth. Another is never to appear selfish.
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No… and they need to hire someone now.
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My read on this is that you are a helper, and your family knows that. They ask for help, and you give it until it literally hurts, and so they don't look for any other help. Just because they ask you (and perhaps guilt you about saying no) doesn't mean they are right to do so. They are obviously putting their needs and wants above yours. Your grandmother has a lot of family around - THEY have all arbitrarily delegated these jobs to you, rather than taking them on themselves. That's not fair at all.

Step back. Say no to any new responsibilities and no to any responsibilities that you don't want to do anymore. Give them a separation date the same as if you're quitting a job (because you are: an unpaid job). Then stop showing up. Establish boundaries, and consider seeing a therapist about all of this, if you're comfortable with that. Focus on you, your marriage, and your family.
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Sadly it’s very easy for others to walk all over those of us who naturally help and give. You’ve done enough. Look at your priorities. Your health. Your marriage. Your peace of mind. Move away but visit your grandma and don’t get sucked into caregiving. What would your family do if you became incapacitated or passed? Shore up boundaries, stick to them and have a good rest of your life. You deserve it!!
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You already know what the right answer is here, you're just not willing to take that step.

Your EKG told you what to do, yet your 'Cardiologist' is questioning a test which does not have the ability to lie or to misinterpret information coming from your body.

That EKG was your wake up call, did you hear it? I hope so.


"For now, I plan to continue to pay the neighbor to help when she can & I’m gonna talk to my Uncle about stepping up, or that the three of them must make some decisions."

Why are YOU paying the neighbor for providing care for someone who should be paying for their OWN care?

Why are you 'talking to your Uncle about stepping up' or 'that the three of them must make some decisions' when NONE of them have done ANYTHING to date? Only YOU can make decisions for YOURSELF. Yet you aren't.

Go back to the EKG now, and hear the message it is trying to send you.

Life is short and your life is in danger now.

Forget about what others want from you, and focus on what your body needs from you.

Then get busy making the necessary changes and using the word NO with your entitled family who's been taking serious advantage of you for a very long time now.

Open your eyes wide now and see things for what they are.

Before it's too late and your 104 y/o grandmother outlives you. God forbid.
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Is it really worth making yourself so ill? :( Jeopardizing your marriage and missing out on your Grankids?!! Take an early retirement..money isn't everything. My husband had to..and we managed. YOU and YOUR family should be top priority!! Yes! I get it..you love your family, you want to help and your dedication is amazing!! YOU are amazing!! You taking care of others that need to find another alternative to 'their' situation! Just because you are a 'nurse'..doesn't mean the weight should fall totally on your shoulders!
Personally..I feel your 104 y/o Grandmother should be in a Long Term Care home. She is fortunate to enjoy living so long and have someone as loving as you to look after her..but those arrangements need to be changed. I understand not wanting to move her from familiar surroundings..but this should be seriously considered.

As much as you love your Mom, I agree..she should have thought about finding other arrangements, consulting you for advice, not expecting you to spread yourself so thin. :( You should not feel guilty..helping her make those arrangements for additional help. <3

You are only one person, when there are agencies, long term care homes that come with 'teams' of people to spread those tasks over the course of the day. Having a Power of Attorney shouldn't mean giving up your life.

Stop being part of the 'sandwich' generation and start being the 'main course' ;) You deserve a break and time to enjoy life. You don't love them any less, but you will feel MUCH better when you set boundries for your time.

Take care of yourself..you need to breathe, take control of the situations and move forward in love. :)
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I am confused. Why weren't plans for your G-Ma figured out decades ago betw her & her Hubs...her kids to "x" degree. Why are you putting yourself in this situation. Back out. It is not on any G Kids to be sooooooo involved in this. Too much. Neutral parties-caregivers need to take over. I hate reading these stories. BOUNDARIES. You need to be there for you, your Hubs and your Job, your kids...grandkids of your own into the future.. Why are you willingly stepping up. This is not on you.. Release yourself of the guilt... Advise her grown kids...but back out. This is not OK..
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Wow, you sound like a saint and are being taken advantage of big time, I would have walked away a long time ago. Let the rest of your grandma’s loving family figure it out. It took me a long time to realize that I do not owe any family member my last good years. I do what I want to do, nothing more. And I don’t care what anyone thinks about me.
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RosyJean: It is imperative that YOU take care of YOU, else your health wanes even more than your tests are already indicating. If you drop over from exhaustion, you shan't be available to these family members. Ergo, make yourself unavailable now.
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Tell them all, "I'm not available anymore," because unless you do, you're the ONLY one who IS. It isn't fun, pleasant, or nice to walk around tired, used, and resentful while everybody freely gets to "work all day," and go on trips, or promise you money or a vacation then suddenly it's "I never said that."

They will find an answer. Yes, their noses will be out of joint but you know what, that's all they'll be.

Worst case scenario your health does what it's trending toward and they are FORCED to make a decision while everyone carries on without you. Totally not fair or worth it.

I started out with, "Sorry, no." Then I dropped the, "sorry." Like, in a day I dropped it. Easier than you think.
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Beatty Aug 2022
I sent a txt back today without the sorry! I am still so proud of myself 😁
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My long answer..

RosyJean, you are a nurse, a Health Hero - I am guessing very caring & capable 😇

Your family members are like many others, wanting to age in place - sure. But increasing needs can bring (hate to say) a little self-centeredness.

Good boundaries are required to prevent the caregiver being taken advantage of.

Boundaries are the HOW you get others to understand.

They may or may not 'get it' - that their expectations are blowing out. You cannot directly change their thinking. You can, however, change your own...

RosyJean, you are seen to be wearing a nurse hat as your professional role, but also considered the Family Nurse, the Family Fixer, Family Saviour to ANY care needs - that you are superhuman with endless energy, time & funds.

Now I say *everyone* including you too. Coz to be brutally honest, some nurses are happy to wear that hat. Set themselves up to be the responsible, dependable, caring one. They are happy to give, love to feel useful, get a good boost to self-esteem & never want to let other's down. It's not a bad thing really.. but it can get out of control.

I say this from a 'people pleaser' position I found myself in! I had to really look at WHY I was stepping into help others so much while my own life was starting to wilt in neglect ☹️

So before turning to what boundaries to put & how to communicate them, what are your thoughts on how you view yourself?

Do you give yourself permission to now turn towards your own needs?
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My short answer..

While you provide all the solutions, family members won't look for alternatives.

Step back.
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Stop "filling in" for others. Talk with your husband and your doctor about realistic options. Then, let the rest of the family know what you can do and stick to that.
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Beatty Aug 2022
I started doing EXACTLY what you wrote above (a few yrs back) & my BP is now back in normal range. It can be done.
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Did you say you have power of attorney? Is it medical only, or more? If not more, maybe it needs to be. Can you sell her home, or other valuables to compensate paying a 24/7 caregiver? It may be time to do just that.
If nothing else, it will get the attention of the others if they don't want things sold then they need to start putting forth the time, effort and costs required!
As others have said, just say NO. When they ask why not? "Because I said NO" (and say no more) Silence is golden. I wish you luck. Your big heart need boundaries and it's hard to learn them when we've never had them! At 57 I am learning mine.
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You are in a very difficult messy situation with lots of stakeholders. Please don't try to be superwoman to the point that you're getting sick. You can't maintain a schedule like yours without totally burning out! Tell your siblings and other family members that due to your own time constraints and health you cannot do it all and they will have to step up, or a way must be found to hire in-home care for your grandmother and mother. Much will depend on your mother's and grandmother's finances. You are the responsible one and the other family members are putting too much of the burden on you. But you are also accepting it. It sounds like nobody in the family is on the same page regarding how to manage the care for your grandmother and mother. You are all getting older, so now is the time to get things straightened out if possible. Have your grandmother and mother set up their paperwork so that everything is in order? they need powers of attorney for medical and financial matters, living wills and wills (it sounds like they both have property). As you mention, if they sign over their property now to one or more of the children, this can save on end of life expenses, if it's done soon enough. Do they have a Plan B, if it comes to the point where they need more care and family members are not able to do it? Property owned jointly can be difficult to manage. Do the children and grandchildren really want this property? Maybe it's time to discuss selling the farms and using the money to pay for their end-of-life care. It would be much easier if they would move to be closer to where the children live. Do you have the kind of family where you could all get together (maybe by zoom) and discuss what to do? All the best to you all!
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Don't encourage anyone to put property in someone else's name. A trust can be created just for that purpose and it gets it out of the owner's name but still has to be dealt with as the owner designates when the trust is created.

Moving property to the name of someone else does not protect it... it makes it vulnerable if that person faces bankrupt or is sued.

For the financial issues... for your grandmother, your mother, as well as yourself... find the best elder care attorney you can afford. Can avoid taxes and probate fees if you can avoid probate. Also after the 5 year look back time is behind you (at least in our state) it can help someone qualify for Medicaid if necessary.
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I feel for you. Easy to give advice and talk, however, it is totally another thing to do and enforce.

I agree with Beatty..."While you provide all the solutions, family members won't look for alternatives."

I think you might need the help of a therapist. There is too many ultra high priority items in your life, too many interruptions and too much drama with side plots. I think you might be losing yourself in your willingness to pick up the pieces so that "the movie can continue to play". I think your marriage and health are suffering as a result.

Recognize that your career as a nurse will make you more vulnerable to family members just expecting you to take over. They are probably not willing to pay nursing wages for the work that you do.

I would get help from a therapist. Your body is telling you that the stress levels are unhealthy.
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I think you need to have an immediate (yet unnamed) health 'issue' that requires you to retreat home and not do anything more than go to work and come home. Probably take at least three weeks to clear up. During that time you need to plan out how you will go forward.

A little story. Have a friend whose dad is wheelchair-bound but still self-sufficient. Her brother would go over 5 days a week after work to visit with him and help out of bit. He didn't need any real help, he was just bored and lonely. Dad didn't ask for this, brother just started doing it. However, after a while it got to be too much for him. He insisted his sister start to step up and pick up the days he couldn't go. She was already stopping by once a week. She was not happy about him assuming she should pick up because he took on too much. Similar to your situation, you are picking up because your mom can't do it. I told her just because he got himself too involved it did not mean it was her responsibility to pick up where he left off so he could keep up his promise. The end result was that brother died suddenly. We forget to take care of ourselves first.
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